The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome.
Which interventions should the nurse incorporate in the plan for this client?

Use of silicone-based vaginal lubricants.

Use of dehumidifiers in the home.

Use of artificial tears.

Use of contact lenses.

Answer and Explanation

Correct Answer : C

Choice A rationale

The use of silicone-based vaginal lubricants is recommended for clients with Sjögren’s syndrome to alleviate vaginal dryness and discomfort during intercourse.

Choice B rationale

Using dehumidifiers in the home is not recommended for clients with Sjögren’s syndrome, as it can exacerbate dryness in the eyes, mouth, and other mucous membranes.

Choice C rationale

The use of artificial tears is essential for clients with Sjögren’s syndrome to relieve dry eyes and prevent complications such as corneal ulcers.

Choice D rationale

The use of contact lenses is not recommended for clients with Sjögren’s syndrome, as it can further irritate dry eyes and increase the risk of eye infections. .

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Correct Answer is A

Explanation

Choice A rationale

Cataracts cause the lens of the eye to become cloudy, leading to a decreased ability to perceive colors. This is due to the scattering of light as it passes through the cloudy lens, which reduces the clarity and vibrancy of colors.

Choice B rationale

Loss of peripheral vision is more commonly associated with glaucoma, a condition where increased intraocular pressure damages the optic nerve.

Choice C rationale

Seeing bright flashes of light and floaters is typically a symptom of retinal detachment, a serious condition where the retina pulls away from its normal position.

Choice D rationale

Loss of central vision is often linked to macular degeneration, a condition that affects the central part of the retina responsible for sharp, detailed vision.

A. Erythema and edema of the affected ear. B. Pain when manipulating the affected ear lobe. C. Tugging on the affected ear lobe. D. Clear drainage from the affected ear.

Correct Answer is C

Explanation

Choice A rationale

Erythema and edema of the affected ear are more commonly associated with external otitis (swimmer’s ear) rather than otitis media. Otitis media involves the middle ear, not the external ear canal.

Choice B rationale

Pain when manipulating the affected ear lobe is also indicative of external otitis. In otitis media, the pain is usually deeper and not affected by manipulation of the ear lobe.

Choice C rationale

Tugging on the affected ear lobe is a common sign in toddlers with otitis media. This behavior is due to the discomfort and pressure in the middle ear caused by the infection.

Choice D rationale

Clear drainage from the affected ear is not typical of otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a ruptured eardrum.

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The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome. Which interventions should the nurse incorporate in the plan for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is C

Explanation

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The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome.
Which interventions should the nurse incorporate in the plan for this client?